I in chhunga storage room emaw attic emaw i tihfai laiin rat i hmu tawh em? Rat bawlhhlawh leh zun a lo vawt a, leivut nen a inhmeh tawh tih i hmu tawh mai thei. Hengte hi thil pangngai anga ngai fo mah ila, vawiinah hian hêng rulhut a\anga min kai theih natna hlauhawm tak, nunna atana hlauhawm tak pawh kan sawi a ni. Hei hi Hantavirus Pulmonary Syndrome, a tawi zawngin HPS a ni.
Hantavirus Pulmonary Syndrome (HPS) hi eng nge ni tak tak?
A awlsam zawngin sawi ila, HPS hi natna hlauhawm tak, mahse natna khirh tak, Hantavirus an tih virus atanga lo chhuak a ni. He virus hi kan taksaah a luh veleh a bul berah chuan kan lung, thinlung leh taksa peng dangte a tichhe tan thin.
He natna hlauhawm ber chu a zual chak hle a ni . Tin, enkawl loh chuan thihna chance a sang hle bawk. A chang chuan he natna hi Hantavirus Cardiopulmonary Syndrome (HCPS) an ti bawk. A chhan chu thinlung (Cardio) leh lung (Pulmonary) te chu a rualin a nghawng vang a ni.
Engtin nge he natna hi kan kai theih ang?
Hei hi a pawimawh ber a ni. He natna hi hri kai rat atanga kai a ni. Mahse, rat khawih mai mai hian i kai dawn tihna erawh a ni lo. Hetiang hian a darh ber a ni:
Thil dahna pindan hlui, inchung, a nih loh leh thingtlang hmuna in hlui i tihfai lai chu han mitthla teh. Chutiang hmunah chuan, rat zun, ek , leh hmui hring chu leivut nen a inhmeh thei a ni. Chu hmun i sweep chuan heng leivut chi hrang hrangte hi boruakah a tel ve ta a ni. Heng virus awmna leivut te te hi i thawk a nih chuan virus hi i lung chhungah direct in a lut thei a ni. Hei hi natna inkaichhawn dan ber a ni.
Tin, kawng dang engemaw zatin a kai theih bawk:
- Virus kai rat in a seh che a nih chuan.
- Rat zun emaw, bawlhhlawh emawa bawlhhlawh awmna hmun i khawih a, chutah chuan i hnar, i hmui emaw, i mit emaw chu kut khata i khawih chuan .
- Chaw emaw tui emaw, rat zun emaw, bawlhhlawh emaw a tihbawlhhlawh chu tum loh taka ei a nih chuan.
A pawimawh ber chu he natna hi mi pakhat atanga mi dangah a kai tlangpui lo. Thil thleng tlem tak a ni. Chuvang chuan damlote bula awm chu hlauh a ngai lo.
Virus taksaa a luh chuan eng nge thleng thin?
Hantavirus chu taksaah a luh veleh ngawi rengin a pung tan a, chu chu a lo thang lian tan tihna a ni. Hun engemaw chen hnuah chauh kan taksa peng hrang hrangte a rawn bei tan thin.
1. Lung chungah eng nge thleng:He virus hian kan lung chhunga thisen kalna kawng te te a tichhe hmasa ber a. Hei hian chu thisen kalna kawngte chu ‘leak’ a siam a, chu chu tui an leak tihna a ni. He tui hi lung chhunga air sacs (balloon ang chi te tak te, kan thawk chhuah huna boruak khat) chhungah direct-in a awm khawm a ni. Tui pil ang mai a ni. Thâwk a harsa a, taksain a mamawh oxygen a hmu lo.
2. Thinlung chunga thil thleng: He virus hian thinlung ruh a tichhe bawk. Thinlung chhunga thisen kalna kawngte pawh a chak lo a, a luang chhuak tan bawk. Tichuan thinlung hian taksa peng dang zawng zawngah oxygenated thisen a pump tha thei lo. Hetiang dinhmun hi a nasat chuan taksa chu shock-ah a lut ta a ni . Chu chu taksa peng hrang hrangte hian thisen an hmu tlem a, pakhat hnu pakhatin an hlawhchham tan tihna a ni. Hei hi a hlauhawm hle mai.
He natna lan chhuah dan engte nge ni?
He natna lan chhuah dan hi stage engemaw zatah a lang thin.
A tir lam (ni 2-8 inkar) .
A tir lama a lan chhuah dan hi common cold leh dengue fever ang chi natna nen a inang hle a, chuvang chuan mi tam tak chuan thil pawi tak niin an ngai lo.
Thil pawimawh ber: Rat awmna hmun (e.g., in hlui tihfai, thingtlang hmuna camping) i hman hnu kar 1 leh kar 8 inkar chhunga hetiang symptoms i neih chuan rinhlelh tur a ni ngei ang.
A hnuaia table-ah hian he natna lan chhuah tirh atanga hmuh theihte tarlan a ni.
| HPS natna lan chhuah hmasak dan | |
|---|---|
| Khawsik sang tak a nei | A khawsik chu 38.3 Celsius (101 Fahrenheit) aia sang a ni. |
| Khua a vawt a, a khur bawk | Khawsik na tak, khawsik nena lo awm. |
| Muscle na a na | Natna nasa tak, a bik takin kawr, hip leh hnungzang te. |
| Lu na na tak | Lu na tuar theih loh. |
| Pum natna, luak chhuak, leh luak chhuak | Pum na, luak chhuak, leh luak chhuak. |
| Chau | Chau leh chau lutuk anga inhria. |
Acute phase (ni 4-10 hnuah) .
A lan chhuah tirh atanga ni 4 leh ni 10 inkarah natna hi a na hle thei a ni. Hei hi nunna atana hlauhawm a nihna stage a ni.
He stage-a thil langsar berte chu:
- Thâwk harsa na tak: Tui hian lung a luah khat a, chu chuan thawk a ti harsa hle.
- Khuh: Khuh hring (dry cough) atanga tan a, chu chu khuh (cough with mucus) ah a chang thei.
- Chest tightness: Thir band hmanga chest hrual ang maia hriatna.
- Lung na tak tak.
- Taksa chhungah pawh thisen a chhuak thei bawk .
Heng symptoms te hi a lo awm a nih chuan damdawi in Emergency Treatment Unit (ETU) pan nghal a pawimawh hle .
He natna hi engtin nge doctor hian a hriat theih ang?
Doctor i pan hunah zawhna tlemte a zawt ang che, a bik takin i natna lan chhuah dan leh tun hnaia rat tamna hmuna i awm leh awm loh chungchang a zawt ang che. Entir nan:
- Tun hnaiah rat emaw an bawlhhlawh emaw i tawk tawh em?
- In hlui emaw, warehouse ang hmun emaw i tifai tawh em?
- Thingtlang lama camping ang chi thil engemaw takah i tel ve em?
- I awmna emaw, i hnathawhna hmunah emaw hian rat an awm em?
He thu hi a pawimawh hle. He natna lan chhuah dan hmasa ber hi dengue leh influenza ang chi natna nen a inang avangin, he thu i pek atang hian doctor chuan HPS hi a ringhlel thei a ni.
Tichuan, thisen test hmangin natna a awm tih finfiah a ni. He test hian taksain hantavirus laka a siam antibody a zawng thin. Tin, thisen chhunga thisen var leh platelet awm zat inthlak danglamna en hian he natna hi a hriat theih bawk.
Hei hi eng enkawlna nge ni?
HPS tan damdawi bik a awm lo, "He damdawi hi ei la, natna hi a dam ang" tih a ni. Enkawlna tum ber chu damlo taksa tanpui, a nih loh leh ‘supportive care’ pek hi a ni. Hei hi damlo taksain hri dona leh hnehna a chan theihna tura chakna leh hun a mamawh pekna tura tih a ni.
- Damlote hi intensive care unit (ICU)-ah enkawl an ni fo thin .
- Thâwk harsa a awm chuan oxygen therapy pek thin a ni .
- An dinhmun a nasat chuan thawkna machine (mechanical ventilation) nen an inzawm ang .
- Fluid replacement leh damdawi te hi taksa tui level leh thisen sang control nan thisen kaltlangin pek thin a ni .
- A then phei chuan antiviral drug Ribavirin hi pek thin a ni.
- Kidney a chhiat chuan dialysis a ngai mai thei.
- A nasat lutuk chuan thinlung leh lung chawlhna pe turin ECMO (Extracorporeal Membrane Oxygenation) an tih machine bik nen inzawm tir i ni thei.
He natna avanga nunna chhanhimna tur a ni a, a hmaa enkawl hi a tha ber a ni. Chuvangin a natna lan chhuah danah rinhlelhna i neih chuan hun khawhral suh la, Doctor pan rawh.
Engtin nge he natna lakah hian kan inven theih ang?
He natna hri danna hi a la awm lo. Chuvang chuan a tha ber chu natna a lo thlen hmaa ven hi a ni. Chu chu rat leh an bawlhhlawh atanga hla taka awm tihna a ni.
A hnuaia table-ah hian eng nge tih tur leh tih loh tur kan en ang u.
| Do's tih a ni | Tih loh tur |
|---|---|
| Rat awmna hmun i tihfai hian kutkawr leh mask vuah ngei ang che . | Rat bawlhhlawh vawt emaw, zun emaw chu broom hmangin sweep up suh. Chutianga tih chuan boruakah virus awmna leivut a belhchhah ang. |
| I tihfai hmain a hmun chu boruak tha taka luh tir tur a ni. Window leh kawngkhar te chu minute 30 vel hawng la. | Thil bawlhhlawh vacuum-ah vacuum up suh. Hei hian hri hi boruakah a darh thei bawk. |
| Rat bawlhhlawh leh zun awmna hmunah disinfectant spray thin ang che .Minute 5-10 vel dah la, paper towel hmangin phihfai la, him takin paper chu la chhuak rawh. | In lamah emaw, camping hmunah emaw ei tur thilte chu pawnah dah suh. Rat an hip thei a ni. |
| In chhunga mice luh theihna tur khur leh gap te chu seal rawh . | Ramsa rat te hi ran vulh angin enkawl suh la, khelhpui suh. |
| I in leh a chhehvel fai takin vawng reng ang che. Rat control i mamawh chuan rat trap hmang ang che. |
Take-Home Thuchah a ni
- Hantavirus pulmonary syndrome (HPS) hi natna hlauhawm tak leh darh chak tak a ni a, rat ek hip luh atanga kai theih a ni.
- A tir lama a lan chhuah dan (khawsik, taksa na, lu na) hi khawsik pangngai nen a inang a, chuvangin a bik takin rat awmna hmunah i awm tawh a nih chuan fimkhur hle ang che.
- Thâwk harsa emaw, rilru natna emaw ang chi natna khirh tak tak i neih chuan damdawi inah kal nghal rawh . Hun hi a pawimawh ber a ni.
- He natna laka invenna hi a tha ber a ni. Rat awmna hmun i tihfai hian mask leh gloves vuah ngei ang che. Thil bawlhhlawh vawt chu silfai suh la, disinfectant hmangin silfai rawh.
- Hemi chungchangah hian rinhlelhna i neih chuan chhungkaw doctor nen inbia la, thurawn la rawh.
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